| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $101.95 | $199.54 | $356.04 | |
BCBS
| Professional | $128.88 | $180.44 | $275.82 | |
Cigna
| Professional | $108.62 | $200.15 | $361.48 | |
Medica
| Professional | $182.78 | $260.10 | $1,632.40 | |
United
| Professional | $177.31 | $225.28 | $423.28 |